View June's Board Pack - Royal Bournemouth Hospital

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Example 8ID Speclty 330 SubchapterEpisode Start 14/04/2010 End 14/04/2010TrustAuditError KeyCodingPDiag C440 Other malignantneoplasms of skin - Skinof lipDiag1 I10X Essential (primary)hypertensionDiag2 E109 Insulin-dependentdiabetes mellitus -Insulin-dependentdiabetes mellitus withoutcomplicationsCodingC440I10XE119Other malignantneoplasms of skin - Skinof lipEssential (primary)hypertensionNon-insulin-dependentdiabetes mellitus - Noninsulin-dependentdiabetes mellitus withoutcomplicationsDiag3 J459 Asthma - Asthma,unspecifiedProc1 S065 Excision of lesion of skinof head or neck NECSDISDOCodingManual orCodingClinicreferenceF021 Excision of lesion of lip PP3 OPCS 4.5instructionmanualPage S-5Proc2 S279 Other local flap of skin -UnspecifiedF042 Reconstruction of lipusing skin flapProc3 Z251 LipHRG JC15Z Skin Therapies level 3 CZ03V Major Mouth Procedures19 years and over withCCSpellHRGJC15Z Skin Therapies level 3 CZ03V Major Mouth Procedures19 years and over withCCBase£635 £2,476tariffShort£0 £0stayadj.Speciali£0 £0st TopUpExcess£0 £0beddaysTotal£635 £2,476PriceCoding SourceClinical RecordThere is an exclusion note at the beginning of Chapter S in OPCS-4 that codes from this chapter should not beused for certain sites including the site for lip. A code from chapter F should be used.SP3Audit Commission Payment by results data assurance framework 59
Example 9ID Speclty 330 SubchapterEpisode Start 01/04/2010 End 01/04/2010TrustAuditError KeyCodingPDiag C440 Other malignantneoplasms of skin - Skinof lipProc1 S069 Other excision of lesionof skin - UnspecifiedCodingC440Other malignantneoplasms of skin - Skinof lipCodingManual orCodingClinicreferenceF021 Excision of lesion of lip PPO OPCS 4.5instructionmanualPage S-5Proc2 Z251 Lip F042 Reconstruction of lipusing skin flapHRG JC15Z Skin Therapies level 3 CZ03Y Major Mouth Procedures19 years and overwithout CCSpellHRGJC15Z Skin Therapies level 3 CZ03Y Major Mouth Procedures19 years and overwithout CCBase£635 £1,837tariffShort£0 £0stayadj.Speciali£0 £0st TopUpExcess£0 £0beddaysTotal£635 £1,837PriceCoding SourceClinical RecordThere is an exclusion note at the beginning of Chapter S in OPCS-4 that codes from this chapter should not beused for certain sites including the site for lip. A code from chapter F should be used.SPOAudit Commission Payment by results data assurance framework 60
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THE ROYAL BOURNEMOUTH AND CHRISTCHU
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50/11 DECISION3% by the 4 th quarte
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52/11 INFORMATIONClinical advice -
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Board of Directors10 June 20111 Pur
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Board of Directors10 June 2011Part
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Board of Directors10 June 2011Emerg
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Board of Directors10 June 2011C.Dif
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Board of Directors10 June 20118 15
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Board of Directors10 June 2011The t
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The Royal Bournemouth & Christchurc
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Board of Directors Part 110 June 20
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Board of Directors Part 110 June 20
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Board of Directors10 June 2011THE R
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Where next for the NHS reforms in E
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Board of Directors - Part I10 th Ju
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Payment byresults dataassurancefram
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ContentsSummary....................
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Figure 1: HRG, procedure and diagno
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Key areas for improvements15 The ke
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Detailed reportIntroduction22 The P
Page 68 and 69: 31 The remaining 100 FCEs were sele
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